Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start INSTITUTION INFORMATION Name of Institution: Sheridan College Institute of Technology & Advanced Learning Trafalgar Road Campus: 1430 Trafalgar Road Oakville, ON L6H 2L1 905-845-9430 Davis Campus: 7899 McLaughlin Road Brampton, ON L6V 1G6 905-459-7533 Locations: (Campus Location of Program is in bold) Hazel McCallion Campus: 4180 Duke of York Boulevard Mississauga, ON L5B 0G5 905-845-9430 Skills Training Centre: 407 Iroquois Shore Road Oakville, ON L6H 1M3 905-845-9430 Website Address: www.sheridancollege.ca All Sheridan campuses are accessible by local public transit, with convenient connections to GO Transit. Visit: www.sheridancollege.ca / About Sheridan/ Campus Info/ How to Get to Sheridan Second Career Coordinator: Deborah Campbell Contact Person: Application Process/Offer of Admission/Letter of Acceptance: Phone: 905-459-7533 or 905-845-9430 ext. 5068 Fax: 905-874-4385 E-mail: deborah.campbell1@sheridancollege.ca 1. If you have been provided with a Second Career Application Package by your Employment Assessment Centre, please review Sheridan’s full-time program admission requirements outlined below under Program-Specific Admission Requirements. Please note that to be extended an offer to Sheridan and obtain an acceptance letter, you are required to meet the admission requirements. We will be pleased to talk with you about your program and Second Career. Also, please attend a Sheridan Second Career Information Session - times and locations are noted at www.sheridancollege.ca under Programs and Courses, then select Second Career. 2. Please apply to your program choice through the Ontario Colleges Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start website at: www.ontariocolleges.ca. Please provide transcripts or request mature student testing, if you meet the criteria (see below Mature Student Status). There is a $95 non-refundable application fee, payable to Ontario Colleges. 3. If Sheridan determines you do not meet the admission requirements through transcripts or testing, we will provide you with information about how you can most efficiently obtain the necessary prerequisites through Sheridan’s Upgrading or ESL Programs. 4. If you are accepted into your program choice, you will receive an offer of admission and, subsequently, a detailed acceptance letter, which you will submit with your Second Career funding application. Certification of School: Sheridan is an Ontario Public College and is certified to issue T2202A tax receipts. Sheridan recognizes that some students who enter a program at the College will have earned postsecondary credits at other recognized postsecondary institutions and may wish to apply these credits towards the Sheridan credential. Advanced standing refers to the transferring of credit earned at another recognized postsecondary institution towards a Sheridan credential. Students may apply to receive advanced standing for specific Sheridan course(s) based on the successful completion of similar courses at other recognized postsecondary institutions subject to meeting applicable Sheridan policies. Advanced Standing: Candidates must have achieved a minimum course grade of C grade in the course that is being considered for advanced standing, or the minimum pass for the course for promotion within the program, whichever is higher. Courses considered for advanced standing must have been completed within five years prior to the request except with the permission of the Dean of the respective school. Please refer to the full Advanced Standing policy on Sheridan’s Policies and Procedures website for specific details. PROGRAM INFORMATION Program Name/Credential: Practical Nursing Ontario College Diploma Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start Program-Specific Admission Requirements: Ontario Secondary School Diploma or equivalent, including these required courses: One English, Grade 12 (ENG4C or ENG4U) plus One Mathematics, Grade 12 (C or U) with a minimum of 70% plus Biology, Grade 11 (C or U) plus Chemistry, Grade 12 (C or U) or Chemistry, Grade 11 (U) Or, Mature Student Status – Mature students do not possess an Ontario Secondary School Diploma, or equivalent, and are 19 years of age or older before the starting date of the program. Mature students who apply to Sheridan’s certificate and diploma programs must demonstrate their ability to work at the postsecondary level in one of the following two ways: By successfully completing equivalency testing in English and/or mathematics and/or; science or By completing a program of academic upgrading at a level appropriate to the program of choice.* Mature students must demonstrate proficiency in meeting specific program prerequisites. *If you do not have the required English, you may wish to enrol in English Language Studies (ESL) program or the Academic and Career Entrance (ACE) program at Sheridan to obtain equivalent credits. Sheridan also offers ACE upgrading courses in Math, Chemistry, Biology and Physics. Preparatory training such as academic upgrading is eligible for Second Career funding, subject to the Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start approval of Employment Ontario. Completion of upgrading does not guarantee admission to the Practical Nursing Program in a subsequent year. Also, applicants who do not possess the necessary admission requirements (or equivalency) are encouraged to consider our General Arts and Science (GAS) Health Profile Program which will provide the necessary preparation to apply to this program. However, completion of the GAS - Health Profile Program does not guarantee admission to the Practical Nursing Program in a subsequent year. APPLICANT SELECTION Eligible applicants will be selected on the basis of the results of Sheridan’s new pre-admission test, the Health Occupations Aptitude Examination (HOAE) for health occupations. A $50 assessment fee will apply. Further details will be available in Access Sheridan upon submitting application. AND Their previous academic achievement (the average of their six highest seniorlevel credits, including the required courses). For Your Information: Before undertaking this program, you should be aware that under the provisions of the Regulated Health Profession and Nursing Acts, to qualify to write the RPN registration exams, you must: be a Canadian citizen, or a permanent resident of Canada or be authorized under the Immigration Act. Start/End dates by semester: May 2013 start May 6, 2013 1 To Aug. 16, 2013 Program Length/ Hours/Weeks: This is a 2 year full time program (4 semesters of 14 weeks each). Hours per week: 18 (daytime hours between 8:00 a.m. and 6:00 p.m., Monday to Friday. Sept. 3, 2013 2 To Dec. 13, 2013 Jan. 6, 2014 3 To Apr. 17, 2014 May 4, 2014 4 To Aug. 15, 2014 Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start Programs starting in January and May run continuously over 16 months (no summer break), with maximum breaks of 3 weeks over Christmas and two weeks between semesters. Students will be notified about their class schedule and timetable prior to the beginning of each semester. Class Size: Approx. 35 Course Outline: See Program Outline section below Registration Fee – (applicable at time of publication – subject to change without notice): The $95 non-refundable application processing fee paid to Ontario Colleges covers application processing for one application cycle. Annual Tuition 2012/13 – (applicable at time of publication – subject to change without notice): Parking 2012/13 – (applicable at time of publication – subject to change without notice): Additional Costs – (applicable at time of publication – subject to change without notice): Other: • Year 1: $4,614.50 • Year 2: * *Tuition fees are regulated by the Ministry of Training, Colleges and Universities. By action of the Ontario government, a change may be made to year two tuition. For purposes of your research, please use the year one tuition. • One Month: $80.00 • One Semester (September to January): $186.00 • Two Semesters (September to May): $343.00 • Three Semesters (September to August): $410.00 Year 1 Books: $436.00 Expendable Supplies: $543.00 Uniform & Equipment: $275.00 Year 2 (subject to increase) Books: $436.00 Expendable Supplies: $412.00 Uniform & Equipment: $275.00 Criminal Record Check & Immunization Requirements Sheridan field placement agencies may require a police record check for criminal offences, a vulnerable sector check and/or a current acceptable record of immunization. Students will be required to provide this documentation directly to Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start their field placement prior to the start of the placement and at their own expense. Students who cannot meet these requirements may have limited field placement opportunities. A blank immunization form can be found at: Health forms CPR & Standard First Aid Requirements Prior to commencing the practicum, and at individual expense, students must obtain a certification in CPR Level C and Standard First Aid for adults, children and infants. Payment Policy for Second Career: Refund/Withdrawal Policy: Your Second Career in Practical Nursing: Option 1: Payment of total fees for one full year should be paid in full by the tuition deadline. Please refer to your Fees Invoice for tuition deadlines as deadlines vary depending on when you are extended and accept an offer. To officially withdraw from Sheridan full time programs, you must do so in writing by submitting to the Office of the Registrar an “Application for Term or Complete Program Withdrawal” form available at all Sheridan Student Advisement offices. If you withdraw by the tenth scheduled day of the first term, then all fees are refunded. If you withdraw by the tenth scheduled day of the second term, then all second term fees are refunded, etc. In any case, a $100 administrative processing charge is withheld. Sheridan’s Practical Nursing diploma program equips you with the skills you need to enter the growing field of nursing. Upon completion of the 4-semester program, you will be ready to write the national certification exam and be registered as a practical nurse by the College of Nurses of Ontario (CNO). Opportunities Working in: Career opportunities/ Employment Prospects/Success Factors: Primary, secondary and tertiary care hospitals Hospitals Clinics Long-term care facilities Community agencies Independent practices Pharmaceutical companies Medical equipment companies Alumni of Sheridan can access all in-person and web-site Career Centre’s services for assistance in Career Counselling and Employment Advising for one year after their graduation date. After one year, they can access all web-site services including jobs.sheridan (our on-line job posting system). Method of Instruction: Courses are instructor-led. Students will engage in a variety of applied learning and experiential activities and will complete multiple industry projects. Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start Equipment Availability: Instructor Qualifications: Students will have access to computers in open access computer labs. College faculty are hired based on a combination of industry experience and academic qualifications. Most full-time faculty have relevant Master’s degrees and/or professional certifications where applicable to their field of expertise. Faculty are provided with opportunities to engage in professional development to ensure currency in their field as well as proficiency in teaching adults. All Sheridan’s programs are designed and kept up to date with input from Program Advisory Committees that include representation from employers and industry organizations. Curriculum Design: Network for Innovation & Leadership in Education at Sheridan (NILES) at Sheridan oversees the design of new programs and courses and maintains a schedule of program review to keep programs up to date. Students have the opportunity to complete a formal evaluation of the course and instructor at the end of each course. Evaluation of Instructors, Courses and Programs: Physical Facilities: Additional Supports and Resources Available: In addition, students can participate in the Student Satisfaction Survey to evaluate their program. Public colleges must survey students, graduates and employers as mandated by the Ministry of Training, Colleges and Universities to obtain information on Key Performance Indicators (KPIs). Please visit: Sheridan Home Page, About Sheridan, Sheridan at a Glance, Key Performance Indicators (KPIs). Sheridan classrooms and campus facilities are accessible and are designed to support a wide range of applied learning activities. Classrooms and labs are equipped with modern technology, including digital AV teaching and learning aids. At the Davis and Trafalgar Road campuses, gyms and fitness centres, full-service cafeterias, modern learning resource centres and vibrant student centres contribute to supporting student learning and life. Both campuses have attractive grounds that provide a relaxing counterpoint to the hustle and bustle of student activity. As a public college, Sheridan is able to offer a full range of student services and supports: Athletics and Recreation Career Centre (job search assistance): available for one year following graduation Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start Counselling and Special Needs Services Accessible Learning Services Library Services Peer Tutoring and Mentoring Health Services Student Advisement Centre Student Union Special Accommodations: Sheridan’s Accessible Learning Services facilitates equal access for eligible students with disabilities by coordinating reasonable academic accommodations and support services. Accommodation plans and services are tailored to correspond with the disability related needs of each student and are determined based on the documentation provided and program specific requirements. PROGRAM OUTLINE Course Requirements: Course code: Course Name: Hours / week: Semester 1: NURS 17013 The Self and the Profession 3 NURS 19469 Fundamentals of Practical Nursing 3 HEAL 13672 LAB 1 3 SCIE 15288 Human Anatomy and Physiology for Nurses 1 3 COMM 1999 Essential Communication Skills 3 MATH 16532 Pharmacy Math 3 Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start TOTAL HOURS PER WEEK 18 NURS 14178 Nursing Care 1 3 HEAL 20036 Health Assessment 3 NURS 27721 Nursing Clinical 2 8 PHAR 15288 Pharmacology for Nurses 1 3 SCIE 20049 Human Anatomy and Physiology for Nurses 2 3 GNED General Education Elective 3 TOTAL HOURS PER WEEK 23 NURS 24998 Issues and Trends 3 NURS 2009 Nursing Care 2 3 PHAR 37900 Pharmacology for Nurses 2 3 NURS 24717 Nursing Clinical 3 8 GNED General Elective 3 TOTAL HOURS PER WEEK 20 NURS 23921 The Realities of Practice 2 NURS 26367 Family Care Nursing 2 NURS 21323 Mental Health Nursing 2 NURS 20172 LAB 4 3 GNED General Elective NURS 25142 Nursing Clinical 4 3 NURS 20065 Pre-graduate Clinical 10 Semester 2: Semester 3: Semester 4: Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start TOTAL HOURS PER WEEK 22 ** Students are offered the option to graduate from the program with a cooperative education component. Enrolment is limited through an additional co-op application process. Students who are accepted into the co-op program will take their remaining class at the Trafalgar Road Campus and will spend three paid work terms working in a program-related position. Co-op work experience complements classroom study and provides an ideal background for enhancing career opportunities. See http://coop.sheridaninstitute.ca/ for details. COURSE DESCRIPTIONS COURSE The self and the profession Code: NURS 17013 Hours / wk: 3 Students focus on their personal and professional development as it relates to the practice of nursing. They acquire the knowledge to understand one's personal values, beliefs and how they intersect with professional roles and responsibilities. Students are introduced to theories and concepts of caring, and reflective practice. Students apply course content through a variety of approaches including presentations, online reflective practice journal, group activities and in-class and online discussions. Students are expected to contribute to in-class and/or online discussions which are graded, respond to online surveys and to complete online assessments such as quizzes. COURSE Fundamentals of Practical Nursing Code: NURS 19469 Hours / wk: 3 Students focus on nursing interventions and effective communication that provide support and basic care for adult clients. Students learn about the theoretical underpinnings of the profession: core concepts of the nursing process, health, and human needs. The client centred approach is highlighted as the framework for the provision of nursing care. Students examine the aspects of cultural diversity, individual differences, and self-care in the context of successful nursing practice. Through interactive lectures, simulations and role plays, case studies, problem solving exercises, assignments and tests, students develop a broad knowledge of the fundamentals of nursing practice. COURSE Lab 1 Code: HEAL 13672 Hours / wk: 3 Students use self-directed learning, problem solving, and a client- centered focus within the helping relationship to provide care that promotes safety, hygiene, nutrition, elimination, activity and rest, and health awareness. Students examine and practice the principles of helping relationships and communication skills, basic health assessments, care options and interventions, and, health promotion. Through experiential activities that support diverse learning strategies students explore the differences and similarities of the roles and responsibilities of the Practical Nurse (PN) and Personal Support Worker Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start (PSW). The practical nurse student and the personal support worker student practice their collaborative and complementary roles as members of a health care team in simulated lab and actual long-term care settings COURSE Human Anatomy and Physiology for Nurses 1 Code: SCIE 15288 Hours / wk: 3 This course provides students with the basic concepts of human anatomy and physiology. Students focus on how the body systems work together to promote homeostasis. They define and examine the interrelationship of structure and function of the human body. Topics covered include: basic anatomical terminology, cell biology, and the anatomy and functions of all the body systems. Through interactive lectures, class discussion, small group work and class presentations students explore Human Anatomy and Physiology. COURSE Essential Communication Skills Code: COMM 19999 Hours / wk: 3 Essential Communication Skills is an introduction to college-level English that develops transferable communication skills required by students for both academic and professional success: writing, reading, speaking, presenting, listening and visual literacy. Students become familiar with various writing styles, and course work provides opportunities for students to read, analyze and practice a variety of structures and formats. Students develop critical reading and response strategies, create well-reasoned reports, edit their own work, perform the fundamentals of academic research and give effective oral presentations. Course work includes a variety of learning experiences including lectures, lab work and collaboration. COURSE Pharmacy Math Code: MATH 16532 Hours / wk: 3 Students are introduced to pharmaceutical calculations - dilutions, dosage calculations and conversions using common fractions, decimal fractions, ratios, proportions, percentages and basic algebra needed to accurately prepare/compound /verify prescriptions. Participants learn to interpret and perform conversion calculations involving the mathematical terms/symbols used in apothecary, metric and international household systems. Students learn through a web- based course. Some of the activities students participate in include contribution to discussions, completion of online assignments and assessments, and participation in online chats. COURSE Nursing Care 1 Code: NURS 14178 Hours / wk: 3 Students examine theoretical concepts and client-centred care practices that are concurrently utilized in the lab and clinical setting. Students critically examine the care of clients experiencing respiratory, endocrine, renal, cardiovascular and integumentary health problems across the lifespan. Students use Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start the nursing process to develop a holistic care plan. Students examine methods of promoting, maintaining, and restoring health. Students have opportunity to learn through a variety of diverse learning strategies. Concepts of pharmacological treatment are supported in Pharmacology 1 For Nurses. COURSE Health Assessment Code: HEAL 20036 Hours / wk: 3 Students develop basic theoretical and practical health assessment skills across the lifespan with a focus on relevant anatomy, physiology, history taking, examination techniques and documentation. Students develop basic 'hands on' assessment skills using a systems approach. Emphasis is placed on recognition of the range of normal findings with some discussion of common abnormalities. Through lectures, discussions, demonstrations and return demonstrations, role plays, and other experiential activities, students integrate learning in order to perform health assessments COURSE Nursing Clinical 2 Code: NURS 27721 Hours / wk: 3 Students apply nursing care skills and therapeutic communication to stable clients in medical or long term care settings. They contribute to the complete client plan of care with a focus on assessment and nursing diagnosis. Students develop skills in team communication methods including verbal report and written documentation and explore the role of the practical nurse as a health care team member. Students examine Best Practice Guidelines towards evidence based practice. Students are introduced to the importance of professional development through reflection and self-evaluation. COURSE Pharmacology for Nurses 1 Code: PHAR 15288 Hours / wk: 3 Students focus on the roles and responsibilities of the practical nurse in the administration of medications and monitoring their effects. Students learn the nursing care associated with the identified classification of drugs received by clients. The nursing process related to drug administration is highlighted. Students examine topics such as ethical and legal aspects of drug administration, interpreting physician orders, recording and reporting of effects. Through interactive lectures, discussions, problems solving case studies, assignments, quizzes and tests, students gain an understanding of the importance of pharmacology in effective nursing care. COURSE Human Anatomy and Physiology for Nurses 2 Code: SCIE 20049 Hours / wk: 3 Students continue to learn the basic concepts of human anatomy and physiology. Human Anatomy and Physiology 2 is the second course which will provide a foundation for health practice for students in the Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start practical nurse program. Students focus on how specific body systems work together to promote homeostasis. They define and examine the interrelationship of structure and function of the human body. Topics covered include: the anatomy and physiology of body systems. Through interactive lectures, class discussion, small group work and class presentations students explore human anatomy and physiology. COURSE General Education Elective Code: GNED Hours / wk: 4 COURSE Issues and Trends Code: NURS 24998 Hours / wk: 3 Students explore the use of technology in nursing and its application to practice. Course work includes analysis of the current issues and trends in health care such as evidence based nursing practice, cultural diversity, community health, advocacy, and political issues and their implications in the nursing profession. Students examine issues related to ethics and quality of work life. Through learning experiences such as in class discussions and presentations, students learn about groups and teams and develop an awareness of the current concerns in the profession. They contribute to online discussions and complete online activities such as presentations, surveys and quiz, and assignments . COURSE Nursing Care 2 Code: NURS 20009 Hours / wk: 3 Students critically examine client-centred care across the life span for clients who are experiencing health problems related to gastrointestinal, neurological, musculoskeletal, special senses, reproductive, oncology, and genetics and who need palliative care. Students continue to use the nursing process to develop holistic care plans. Students examine methods of promoting, maintaining and restoring health, promoting rehabilitation and supporting palliation and a peaceful death. Throughout the course, students have the opportunity to learn through a variety of diverse learning strategies. Concepts of pharmacological treatment are supported in Pharmacology for Nurses 2 COURSE Pharmacology for Nurses 2 Code: PHAR 37900 Hours / wk: 3 Students continue to focus on the practical nurse's roles and responsibilities in the administration and monitoring of effects of several classifications of drugs. Students learn to recognize and respond to adverse effects. They gain knowledge of the assessments of the physiologic effects and determine drug effectiveness. Through interactive lectures, discussions, problem solving case studies, assignments, quizzes and tests, students gain further understanding of the importance of pharmacology in effective nursing care. Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start COURSE Nursing Clinical 3 Code: NURS 24717 Hours / wk: 6 Students apply nursing care skills and therapeutic communication to clients in acute care (medical and surgical) and long term care. They develop critical thinking and problem solving skills through applying the nursing process in the development and delivery of nursing care. They learn about the complete nursing care plan with a focus on planning and nursing interventions. Students gain an understanding of principles of client teaching and evidence based practice through research are introduced. Students participate in professional development through critical incident reflection and self evaluation COURSE General Elective Code: GNED Hours / wk: 2 COURSE The realities of practice Code: NURS 23921 Hours / wk: 9 Students continue to explore politics and the health care system and how these impact nursing practice at the bedside. Topics related directly to practice will include reflective practice as a health care professional and understanding the legal/ethical implications of delegating patient care to unregulated professionals. Through case studies, group work, and moderated discussions, students are provided with an introduction to the concepts of leadership and management. Students write practice tests to prepare them for the national exam. The basics of reading and critiquing research articles will be reinforced in authentic or simulated situations. COURSE Family Care Nursing Code: NURS 26367 Hours / wk: 3 Students apply principles of family-centred care and growth and development, the nursing process and health teaching to develop care plans that focus on promoting, maintaining, and restoring health of children (newborn to adolescent), and childbearing women. Students distinguish normal and abnormal assessment findings for children and for childbearing woman (from preconception to postpartum). Students discuss the role of the practical nurse as an interprofessional healthcare team caring for children, adolescents, and childbearing women. Students have the opportunity to learn through diverse learning strategies COURSE Nursing Care of Mental Health Clients Code: NURS 21323 Hours / wk: 3 Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start Students focus on the nursing care for clients experiencing mental health issues across the lifespan. In addition, they learn specific interventions and strategies to deal with challenging situations related to psychiatric problems. Students gain knowledge of the related ethical and legal aspects. A holistic client centered focus is emphasized. Through lectures, discussions, case studies, role plays, videos, and experiential exercises, students learn the importance of nursing interventions that promote, restore, or maintain mental health. COURSE LAB 4 Code: NURS 201712 Hours / wk: 1 . Students consolidate critical thinking in simulation and reality- based case studies as well as theory, nursing interventions and practises to provide quality client- and family-centred nursing care to clients. Practical Nursing (PN) students use self-directed learning and problem solving to provide supportive care for child bearing women (preconception to post-partum) and children (newborn to adolescents) and for client are experiencing mental health problems. PN students collaborate with clients and others to promote, maintain, and restore health by using the nursing process effectively and by selecting and using prioritized nursing interventions safely and competently. They examine and practise the role of the practical nurse as a member of collaborative health care teams. COURSE Pre-Graduate Clinical Code: NURS 20065 Hours / wk: 10 Students refine professional practice and engage in professional development within the competencies related to nursing. Students assume increasing autonomous responsibility under the supervision of a preceptor in the practicum. The focus of practice will be on integrating theoretical and substantive knowledge to enhance competence and confidence in clinical practice that includes client care, workload management and interprofessional practice. COURSE General Elective Code GNED Hours / wk: 3 COURSE Nursing Clinical 4 Code GNED Hours / wk: 4 Students apply nursing care skills and therapeutic communication to clients in acute care (maternal child, mental health, surgical and medical), and long term care. They apply nursing process and critical thinking in care planning and client care. Students practice more autonomously, within the supervised clinical Practical Nursing – PPNSG Ontario College Diploma Program Profile for Second Career May 2013 start environment, as a health care team member responsible for ongoing team communication and care plan delivery. They practice client health teaching and peer group presentation based on empirical evidence. Students participate in professional development through creative reflection and self-evaluation. ADDITIONAL NOTES All information current at time of publication - subject to change without notice.